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Home My WebLink About4-28-12Name Unit_ Block Lot Date of Mark -out �v Date of Burial i 3 • Time Name of Funeral Home 1 Authorized by ROBERT HENRY PAASCH October 9, 1920 - July 31, 2013 Paasch, Robert, of Sebastian, FL, passed away peacefully at age 92 after a short illness. Beloved grandfather of Christopher and Stefanie Paasch, uncle to niece Renee (Harold) Worrell, grandnieces, Danielle and Melissa Worrell, nephew, Matthew Palma and grandnephew, Nicholas Palma, uncle to niece, Deborah Robinson, Charlotte Thorgerson, Charlene Poulson. Preceded in death by wife, Ruth and son, Wayne. Retired from NBC in Miami where he was Chief Broadcast Engineer. Served in Army Air force during WWII and worked on the Manhattan Project. WALTj DsurllEvrn/ State of Florida, Department of Health, Bureau of Vital Statistics BURIAL TRANSIT PERMIT DATE PRINTED: August 5, 2013 TRACKING NUMBER: 2013110501 1. DECEDENT INFORMATION Name of Deceased Date of Death ROBERT HENRY PAASCH July 31, 2013 Place of Death - County City, Town or Location Name of facility, or street address if not a facility INDIAN RIVER VERO BEACH PALM GARDEN OF VERO BEACH Name and Address of Funeral HomelDirect Disposal Establishment Fla. Lic. No.IReg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funeral DirectorlDirect Disposer Fla. Lid. No./Reg. No. WILLIAM S. WHITTAKER F026900 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2013-FO41870-5113 ( AeLcx' ' Date Issued: August 1, 2013 Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY Ver (f�li 1 Method of Disposition: BURIAL Date of Disposition: EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E, 10/12 64V-1.011, Florida Administrative Code FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SEBASTIAN xomf o i IN N isum For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 FUNERAL HOME: ADDRESS: PHONE #: City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 STRUNK FUNERAL(7N7�III dWEMATORY 1623 No. Centrat Ave. (Check One) OPEN BURIAL LOT Lot 12 ��QQ Block 2b Unit OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N_S E_W_ BURIAL DATE AND SERVICE TIME: FOR DECEASED: NAME AND SIGNATURE OF LOT OWNER OR R SENTATIVE: (Must provide proper documentation of ownershi R I 0,arr� - -b - -�-��Ct- /v) Name 'nature I Da e I certify that I have determined the ownership of the above described site, that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIR C l l i 6W 8 5i S - Name SignaturV Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office n hat all fees have been paid: e ete Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. 15t�J 5(1�PI1[P�PX� �PP1� NO - 23rd September A. D., 18 98 ......, ............... day of .......................... THIS INDENTURE MADE TLL ......- between the City of Srbustion, a municipal corporation exlslingch under the laws a1 the Slott of Fiorillo, ns Grantor and ............................. SSSS... ........ ... ........ ............. Robert H. and/or •Ruth A. Paas ..'. .... 219 Ceclor Street ............................................ SSSS.. SSSS ..................... Sebastian, FL 3295 an'I stale of .........,.F1OrIda.................................. Of the County of .. Indian• River • .. as Grantee, WITNESSETH t , • to it in hand paid, the receipt whereof is herewith oc, the Grantor for and N and confirm unto the Granteetheir•... consideration of the sum of $ ....L,OD�-(l�• know) That does by this instrument grant, bargain, sell, release, convey heirs, legal representatives and assigns That the following property situated in Sebastian, Indian River County, Florida, to -wit: 4 , of Sebastian municipal cemetery as per Plat Number t thereof recorded in Plat 11&12 All of Let(a) ........ Lucie County of Florida; said land now lying and being Block,... 28... ,UNIT Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St I, Indian River County, Florida. To Have and to Hold the same forever, provided that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times forever; accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- be situated within said cemetery to Ob - in now and hereafter adopted all provided for tho a with and operation of xuid cemetery. The conditions, restrictions and requirements contain in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property de serve and comply with such rules, regulations, resolutions and ordinances and the conditions O the ed of conveyance thereof then the [Elle of such owner in and to said property shall terminate and the same shall rever0o the City of Sebastian, IN WITNESS WHEREOF, The said party of the fust part has caused this instrument to be executed in its name and on its behalf by its Mayor end attested by Its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. CITY OF SEBASTIAN, FLORIDA A at '• C1k�erk Signed aled mrdY-1- ;In - In it rese o . `2L� g;y cam......... ate/ nr Mayor ((IIitu �senl) STATE of ri.ou,r,A -.,::. li� a COUNTY OF INDIAN RI Q Hal O That on this Kathryn M. ......SSSS... I IIEItEBY CEii'CI IrY, and •"""""""'�"• Ruth Sullivan State . before erre personally appeared SSSS . . respectively McYu�r and City ('leek of the City of ......... a municipal corporation under the laws of the State of Florida to me sown A. Paasch to be the individuals and officersRdoesbcert H.Died In ��and/Dr id who [Ruth lr� foregoing cnay...... .a ............................ ..... I ....... ... .. y ...................................... ............. ........... .,•, .,SSSS and scvcrully ncknowlydg.d the rxecutlon thereof to be their free act and dee as such officers thrremdu duly .. ........ and That the official seal of sold curp.xation is dul affixed thereto, ami the said conveyance horized; f Florida, the day and year is the net and deed of said corporation. tile Co my of a r etivcr d Stale WITNESS my signature and official seal at Sebastian' In n last aforesaid. Vg�e,rLMDAM.GALLE ..,.. ... ..,.. u _ SSSS.. .:,:;......... CITY OF SEBASTIAN CITY CLERK'S OFFICE /. 7C1C RECEIPT 4 17 U Name ❑ Cash Date IZCheckIf 6 ► 5_ No. Amount Pald 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LOC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots 7 '�77 p(; LoUNiche i Z Block L 6 . Unit 001501 343805 Cemetery Fees J 1 Initials White — Dept of Origin• Yellow — Finance 250, n Total Paid 250.0() Pink - Applicant